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RYAN PEDIATRIC THERAPIES PA NPI 1336464015


NPI Information

NPI: 1336464015
Provider Name: RYAN PEDIATRIC THERAPIES PA

Doing Business As: PATHWAYS PEDIATRIC THERAPIES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1110 CARROLL RD
PARAGOULD, AR
ZIP 72450
Phone: (870) 897-2372
Get Directions

RYAN PEDIATRIC THERAPIES PA is a clinic center in Paragould, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RYAN PEDIATRIC THERAPIES PA NPI is 1336464015. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pathways Pediatric Therapies.

The provider's business location address is:

1110 CARROLL RD
PARAGOULD, AR
ZIP 72450-007
Phone: (870) 897-2372
Fax: (870) 236-2529

The provider's authorized official is Tiffany Ryan .
The authorized official title is Owner and has the following contact phone number (870) 897-2372.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 1/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2222Q00000XDevelopmental TherapistNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistNo
6261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200349778MEDICAIDARKANSAS
2255643790MEDICAIDARKANSAS
3181344742MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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